Individual
TATYANA KOMAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1500 KINGS HWY N STE B104, CHERRY HILL, NJ 08034-2304
(856) 616-2385
(856) 616-2386
Mailing address
1500 KINGS HWY N # B104, CHERRY HILL, NJ 08034-2304
(856) 616-9753
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TR00097700
NJ
Other
Enumeration date
11/21/2006
Last updated
11/01/2021
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